NPIMap

Organization Active NPI

Lakewood Forest Medical Center LLC

  • Emergency Care Clinic/Center
  • Cypress, TX
National Provider Identifier
1336574763
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
160100 Issued in TX
Legal business name
LAKEWOOD FOREST MEDICAL CENTER LLC
Practice address
13105 Louetta Rd
Cypress, TX 77429-5155
Phone
(972) 899-6660
Fax
(972) 899-5954
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tim Fielding
Title
Cfo
Phone
(972) 899-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 160100 TX Primary

Addresses

Primary practice location

13105 Louetta Rd
Cypress, TX 77429-5155

Mailing address

PO Box 840795
Dallas, TX 75284-0795
Phone (972) 899-6660

Other identifiers 1

IdentifierTypeStateIssuer
434148OtherTXJCAHO

Other names 1

  • First Choice Emergency Room Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20514/brand/1/csg/1/fhir/r4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1336574763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840795",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840795",
            "telephone_number": "972-899-6660",
            "fax_number": "972-899-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13105 LOUETTA RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295155",
            "telephone_number": "972-899-6660",
            "fax_number": "972-899-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD FOREST MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-899-6650"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO",
            "identifier": "434148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Emergency Room",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.